Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $39.81 / $199.53	Facility		$18.62	$39.81	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $45.71	Professional		$13.80	$16.60	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $12.88	Professional		$7.76	$10.47	$12.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $302.00 / $660.69	Facility		$134.90	$302.00	$660.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $41.69	Professional		$13.80	$24.55	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $40.74 / $85.11	Facility		$17.78	$40.74	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $28.18	Professional		$12.02	$18.62	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $20.89	Professional		$7.41	$9.12	$20.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $10,232.93 / $25,118.86	Facility		$18.20	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.98 / $20.42	Professional		$16.22	$16.98	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.20 / $38.02	Facility		$8.71	$18.20	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.96 / $26.92	Professional		$7.41	$10.96	$26.92